Department of Surgery, Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Science. 2021 Apr 23;372(6540). doi: 10.1126/science.aba2374.
Skin scarring, the end result of adult wound healing, is detrimental to tissue form and function. lineage-positive fibroblasts (EPFs) are known to function in scarring, but lineage-negative fibroblasts (ENFs) remain poorly characterized. Using cell transplantation and transgenic mouse models, we identified a dermal ENF subpopulation that gives rise to postnatally derived EPFs by activating expression during adult wound healing. By studying ENF responses to substrate mechanics, we found that mechanical tension drives activation via canonical mechanotransduction signaling. Finally, we showed that blocking mechanotransduction signaling with either verteporfin, an inhibitor of Yes-associated protein (YAP), or fibroblast-specific transgenic YAP knockout prevents activation and promotes wound regeneration by ENFs, with recovery of skin appendages, ultrastructure, and mechanical strength. This finding suggests that there are two possible outcomes to postnatal wound healing: a fibrotic response (EPF-mediated) and a regenerative response (ENF-mediated).
皮肤瘢痕是成人伤口愈合的最终结果,对组织形态和功能有害。已知谱系阳性成纤维细胞(EPFs)在瘢痕形成中起作用,但谱系阴性成纤维细胞(ENFs)仍未得到充分描述。我们使用细胞移植和转基因小鼠模型,在成年伤口愈合过程中通过激活表达,鉴定出一种真皮 ENF 亚群,该亚群可产生后天衍生的 EPFs。通过研究 ENF 对基质力学的反应,我们发现机械张力通过经典的机械转导信号通路驱动激活。最后,我们发现,使用 Yes 相关蛋白(YAP)抑制剂 verteporfin 或成纤维细胞特异性转基因 YAP 敲除阻断机械转导信号,可以阻止激活,并通过 ENFs 促进伤口再生,恢复皮肤附属物、超微结构和机械强度。这一发现表明,出生后伤口愈合有两种可能的结果:纤维化反应(由 EPF 介导)和再生反应(由 ENF 介导)。
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